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PSNet: Patient Safety Network
Journal Article
Review

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare.

Serou N, Sahota LM, Husband AK, et al. Int J Qual Health Care. 2021;Epub Mar 18.

High reliability organizations consistently examine and learn from failures. This systematic review identified several effective learning tools that can be adapted and used by multidisciplinary health care teams following a patient safety incident, including debriefing, simulation, crew resource management, and reporting systems. The authors concluded that these tools have a positive impact on learning if used soon after the incident but further research about successful implementation is needed.